I

NI

NP

Inspection Item

I=Inspected

NI=Not Inspected

NP=Not Present

R=Not Functioning or In Need of Repair

I. STRUCTURAL SYSTEMS

A.

Foundations (If all crawl space areas are not inspected, provide an explanation.) Comments (An opinion on performance is mandatory.):
____________________________________ CRAWL SPACE Wood Debris /Trash Wood/Soil Contact Seal Openings Vermin Activity Secure Ducting Past/Seasonal Water Wall Vent Obstructed Missing/Damaged Screens Ventilation Needed Mildew Due To Poor Ventilation Adjust Moisture Barrier Repair Moisture Barrier Moisture Barrier Needed Foam Board Exposed

____________________________________ FOUNDATION Cracks Minor/Settling Cracks Minor/Shrinkage Cracks Moderate/Settling Cracks Major/Settling Spalling (Exterior) Mortar Deterioration (Exterior) Backfill Height Excessive Movement - Exterior Wall Cracks Movement - Interior Wall Cracks Movement - Door Frames Movement - Floor Slope Cable Ends Visible

B.

Grading & Drainage Comments:

Walkway Slopes Towards House Ravine Erosion Problem?

Low Lot Relative To Neighbor Grading Improvement Needed Swale Improvement Bet. Houses Driveway Slopes Towards House Seal Driveway At House

NI

NP

Inspection Item

C.

Roof Covering (If the roof is inaccessible, report the method used to inspect.) Comments:
Seam Failure Typical Maintenance Needed Prior Repairs Evident Strip When Re-Roofing ____________________________________ FLASHINGS Old - Replacement Needed Leak - Replacement Needed Leak - Patching Needed Vulnerable - Prior Leak Holes - Temporary Patching Holes - Replacement Needed Rust Loose Incomplete Installation Nail Heads Exposed Lack Of Clearance - Siding/Roof ____________________________________ SKYLIGHTS Skylight - Install Low Quality Skylight Leakage Cracked/Broken ____________________________________ GUTTERS / DOWNSPOUTS Cleaning Needed Leaks Minor Slope Insufficient Gutters Damaged Old Steel - Eventual Replace Old Steel - Replacement Downspouts Insufficient Number Downspout Discharge Near House Downspouts Clogged Below Grade? Downspout Discharge Onto Roof Downspout Loose/Damaged

____________________________________ SLOPED ROOFING Minor Repairs Only Replacement Needed Nearing End Of Life Cycle Near End Of Life Cycle - Minor Fair Condition Fair Cond. - Amateur Install Fair Condition - Uneven Wear Fair Condition - Premature Flaws Good Cond. - Amateur Install Good Condition - Uneven Wear Inappropriate Mat. - Low Slope Older Roofs - Maintenance Notes Vulnerable Areas Prior Repairs Evident Remove Debris Exposed Felt/Sheathing Strip When Re-Roofing ____________________________________ FLAT ROOFING Replacement Needed Nearing End Of Life Cycle Near End Of Life - Flaws Fair Condition Fair Cond. - Material/Install Fair Condition - Lack Of Gravel Fair Condition - Water Ponding Amateur Install - Good Cond. Drains Congested UV Protect. Needed - Single Ply Incompatible Materials Voids In Gravel

NI

NP

Inspection Item

D.

Roof Structure & Attic (If the attic is inaccessible, report the method used to inspect.) Comments:
Even Out Insulation Compressed Insulation Skylight Well Insulation Needed Improve Ventilation Marginal Ventilation Soffit Vents Congested? Screens On Vents Needed Sloped Ceil. Questionable Vent. Condensation/Mildew Power Ventilator Inoperative Access Hatch Needs Insulation Ducts In Attic Need Insulation Vent Exhaust Fan To Outside Exhaust Vent Needs Insulation Check Out Recessed Lights Vermin Activity Noted

____________________________________ ROOF STRUCT. Ridge Sag Rafter Sag Collar Ties Insufficient Sheathing Unevenness (Truss) Truss Uplift Truss Cut/Altered FBM Plywood Sheathing Condensation Sheathing Delaminated Insulation Stains Noted Major Leaks Noted Holes/Light Visible Prior Repairs Noted ____________________________________ ATTIC INSULATION / VENTILATION Improve Insulation

E.

Walls (Interior & Exterior) Comments:

Installation Incomplete Mildew ____________________________________ EXTERIOR WALLS Water Staining Water Damage Cracks Typical Cracks Moderate Cracks Major Weep Holes Blocked Corbelling Excessive Lintel Movement/Cracks Bowing Leaning

____________________________________ INTERIOR WALLS Water Staining Water Damage Patching Damage Noted Minor Cracks Larger Cracks Drywall Flaws Loose/Weakened Bulging Plaster Weakness In Plaster Amateur Installation Poor Workmanship

NI

NP

Inspection Item

F.

Ceilings & Floors Comments:

Installation Incomplete Mildew ____________________________________ FLOORS Floors Sloping Floors Sagging Floor Movement Tile Cracked Tile Cracked/Loose Tile Installation Marginal Vinyl Seams Poor Vinyl Damage Vinyl Poor Installation

____________________________________ CEILINGS Water Staining Water Damage Patching Damage Noted Minor Cracks Larger Cracks Drywall Flaws Loose/Weakened Bulging Plaster Weakness In Plaster Amateur Installation Poor Workmanship

G.

Doors (Interior & Exterior)

Sliding Glass Screen Missing Sliding Glass Hardware Damaged Sliding Glass Lost Seal Sliding Glass Leak At Threshold Door Glass Non-Tempered ____________________________________ GARAGE DOORS Garage Door Damage Garage Door Localized Rot Garage Door Extensive Rot Garage Door Adjustment Garage Door No Safety Springs Garage Man Door Closer Garage Man Door Rating Garage Man Door Seal Garage Man Door Adjustment

____________________________________ INTERIOR DOORS General Trimming/Adjustment Door Hardware Damaged Damaged Doors Door Water Damage Door Glass Non-Tempered ____________________________________ EXTERIOR DOORS General Trimming/Adjustment Door Hardware Damaged Damaged Doors Door Water Damage Door Screen Damaged Sliding Glass Sticking Sliding Glass Rollers Sliding Glass Older Sliding Glass Screen Damaged

NI

NP

Inspection Item

H.

Windows
Glass Non-Tempered Lost Seal Window Condensation Window Screen(s) Damaged Window Screen(s) Missing Sash Cords Missing Storm(s) Missing Window Blocked Off Non Keyless Burglar Bars

Old Windows - Mild Disrepair Low Quality - Mild Disrepair Water Staining Water Damage Window Painted Shut Window Inoperative Window Cracked Window Broken Missing Pane Window Hardware Missing Window Hardware Damaged

I.

Fireplace/Chimney Comments:
Log Lighter Gas Leak

____________________________________ FIREPLACE(S) Poor Draft Evident Firebox Mortar Repair Firebox Rear Wall Repair Firebox Rebuild Flue/Firebox Creosote Damper Operation Damper Missing Zero Clearance Firebox Bulging Zero Clearance Poor Install Hearth Insufficient Hearth Damage Lintel Damage Combustible Materials Improve Glass Doors Fireplace Combustion Air Fan Not Operating Log Lighter Not Operating Log Lighter Gas Not On

____________________________________ CHIMNEY(S) Masonry Normal Wear And Tear Masonry Re-Pointing Masonry Minor Spalling - Watch Masonry Spall/Eventual Rebuild Masonry Rebuilding Needed Masonry Damaged Cap - Replace Masonry Rain Cap/Screen Needed Masonry Out Of Service/Remove? Masonry Out Of Plumb Masonry Bracing Needed Masonry Flue Liner Cracked Masonry Insuff. Height/Clear. Masonry Clean Flue Metal Chimney Surface Rust Substantial Rust/Insul. Chimney Metal Chimney Bracing Needed Metal Chimney Damage Metal Chimney Cap Needed

NI

NP

Inspection Item No Attic Firestopping Spark Arrestor Damaged Birds Nest

Vermin Screen Needed Metal Insuff. Height/Clearance Metal Clean Flue

J.

Porches, Decks and Carports (Attached) Comments:

Deck Railing Needed Deck Railing Openings Deck Dilapidated ____________________________________ CARPORT Post Rot Post Settlement ____________________________________ STEPS Step Steep Pitch Step Treads Non Standard Step Risers Non Standard Step Treads Damaged ____________________________________ RAILINGS Step Handrail Loose Step Handrail Needed Step Railing Loose Step Railing Needed Railing Loose Railing Needed Railing Openings Railing Height

____________________________________ PORCH(S) Porch Settlement Porch Column Movement Porch Masonry Spalling Porch Rot Porch Wood/Soil Contact Porch Steps Settled Porch Steps Rotted Porch Trip Hazard At Steps Porch Railing Loose Porch Railing Needed Porch Railing Openings Porch Dilapidated ____________________________________ DECK(S) Deck Paint/Stain Needed Deck Rot Deck Built On Grade Deck Low Quality Installation Deck Posts Not Well Supported Deck Steps Rotted Deck Trip Hazard At Steps Deck Railing Loose

NI

NP

Inspection Item

II. ELECTRICAL SYSTEMS

A.

Service Entrance and Panels

Oversized Fuses Oversized Breakers Openings In Panel Cover Missing Damaged Panel Rusted Panel No Disconnect Double Taps Crowded Linking/Bridging Missing Overheated Wiring Poor Connections Cable Clamps Needed GFCI Inoperative Not Grounded/Bonded Not Rated For Aluminum

____________________________________ SERVICE / ENTRANCE Undersized Service Tap On Main Service Damaged Wires Drip Loop Insufficient Clearance Inadequate Poorly Attached/Loose Undersized Service Box Rusted Service Box Damaged Service Box Grounding Ineffective No Meter Bypass ____________________________________ MAIN PANEL Obsolete Panel Undersized Panel Location Inappropriate Capacity Insufficient

B.

Branch Circuits - Connected Devices and Fixtures (Report as in need of repair the lack of ground fault circuit protection where required.): Comments:
Sub Panel Ground/Bond Sub Panel Disconnect ____________________________________ ALUMINUM WIRING Inapp. Outlets And Connectors Aluminum Wiring: Overheating Alum. Wiring: Panel Not Rated ____________________________________ OUTLETS Outlets: Inoperative Outlets: Inoperative Outlets: Damaged Outlets: Loose Outlets: Reversed Polarity Outlets: Ungrounded 3-Prong Outlets: Overheated Outlets: GFCI Test Faulty Outlets: GFCI Inoperative Outlets: GFCI Recommended

____________________________________ DISTRIBUTION WIRES Wiring: Abandoned Wiring: Damaged Wiring: Loose Wiring: Overheating Wiring: Exposed On Walls Wiring: Touching Ducts/Pipes Wiring: Undersized Wiring: Inappropriate For Ext. Wiring: Extension Cords Wiring: Poor Connections Wiring: Junction Boxes Loose Wiring: Junction Box CVR Plates Wiring: Amateur Installation No Bonding On Appliances Sub Panel Location

NI

NP

Inspection Item Lights: Inoperative Lights: Damaged Lights: Loose Lights: Recessed Light Bulbs Lights: Recessed Light Rating Lights: Supported By Wiring Ceiling Fan Inoperative Smoke Detector Inoperative

Outlets: Cover Plates ____________________________________ SWITCHES Switches: Inoperative Switches: Damaged Switches: Loose Switches: Obsolete Switches: Overheated ____________________________________ FIXTURES

III. HEATING, VENTILATION AND AIR CONDITIONING SYSTEMS

A.

Heating Equipment Type And Energy Source: _____________________________________ Comments:

____________________________________ COMBUSTION UNIT Combustion Air Lacking Burner Old Burner Suspect Burner Dirty/Soot Burner Rust Deposits Flashback Pilot Problems? Back Drafting Gas Line Material Gas Valve Location No Gas Shut-Off Furnace Gas Leak ____________________________________ BASEBOARD HEATERS Inoperative Heater No Source of Heat Damaged Heater Rusted Heater Control Damaged Old Heaters Wiring Unsafe

____________________________________ FURNACE Heating System Inoperative Near End Of Life Cycle Replacement Imminent Premature Failure?? Octopus - Replace ASAP Location Unsafe Cracked Heat Exchanger Observed Furnace Inaccessible Servicing Needed Blower/Motor Suspect Humidifier Replacement Humidifier Maintenance Air Filter Dirty Electronic Air Cleaner Dirty Elect. Air Cleaner Not Working Condensate Line Dirty Condensate Pump Inoperative Fan Limit Adjustment Fan Limit Inoperative Condensation/Vent Problems

NI

NP

Inspection Item

B.

Cooling Equipment Type And Energy Source: _____________________________________ Comments:

Electrical Conductor Size Over Current Protection ____________________________________ EVAPORATIVE COOLERS One Speed Two Speed Lacking Maintenance Older System Obsolete Unit Inoperative Cooler Noisy Motor Housing Damaged Fan Belt/Pulley Repair Fan Rust Water Supply Line Air Gap Too Small Float Valve Suspect Spray Nozzle Restricted Pump Suspect Water Pads/Blankets Dirty Roof Jacks Marginal Roof Jacks Poor Excess Humidity In House ____________________________________ THERMOSTAT Loose Thermostat Old Location

____________________________________ CENTRAL AIR CONDITIONING Inoperative System Old System Very Old System System Obsolete Undersized System? Temperature Drop Excessive Temperature Drop Insufficient Service Needed Insulation Damage On Ref. Lines Return Chase Location Outdoor Unit Out Of Level Outdoor Unit Dirty Outdoor Unit Fin Damage Outdoor Unit Noisy Cut Back Vegetation Condensate Tray Leak Cond. Discharge Location Poor Condensate Line Blocked Inoperative Condensate Pump Condensate Trap Needed Condensate Line Insulation Drip Pan Needed Drip Pan Undersized Drip Pan Water/Debris Indoor Fan Noisy/Vibrates Indoor Fan Undersized?

C.

Ducts and Vents

Motorized Dampers Suspect Improper Duct Material Duct Routing ____________________________________ RETURN AIR DUCTWORK No Return Air Vent At No Return Flow Return Vent Near Furnace Improper Duct Material

____________________________________ SUPPLY AIR DUCTWORK Low Flow Balancing Needed Proximity Of Furnace Poor Duct Cleaning Needed Seal Opening Old Ducts Undersized Rusted Ducts Below Slab

NI

NP

Inspection Item Flue Slope Flue Clearance Flue Termination Improper Induced Draft Fan Suspect Barometric Damper Improvement

Duct Routing ____________________________________ HEATING EXHAUST FLUE Flue Connections Vent Material Inappropriate

IV. PLUMBING SYSTEM

A.

Water Supply System and Fixtures Comments:

Toilet Loose Toilet Prior Leak Toilet Floor Damage Toilet Cracked Toilet Slow Flush Toilet Inoperative Toilet Runs On Toilet Old Shower Head Leak Shower Head Poor Shower Stall Tile Grout/Caulk Shower Stall Tile Damage Shower Stall Rebuild Tile Base Shower Stall Complete Rebuild Shower Stall Drains Slow Shower Stall Leak Shower Door Defective Bathtub Tile Grout And Caulk Bathtub Enclosure Caulk Bathtub Enclosure Leak Bathtub Tile Damage Bathtub Tile Rebuild Bathtub: Floor Spill Damage Bathtub Window In Enclosure Bathtub Drains Slow Bathtub Stopper Missing Bathtub Stopper Inoperative Bidet Loose Bidet Prior Leak Bidet Cracked Bidet Slow Drain Bidet Inoperative Bidet Old

____________________________________ SUPPLY PLUMBING Pressure Regulator Needed Older Steel Leak Exterior Corrosion Support Lacking Water Pressure Low Handle Missing Handle Damaged Pipe Hammer Workmanship Marginal Condensation On Cold Pipe Cross Connection Softened Water As Drink. Water Well Pump Older Pump/Tank Poor Setup Waterlogged Holding Tank? ____________________________________ FIXTURES Older Fixtures Poor Quality Installation Hot/Cold Reversed Faucet Leaky Faucet Loose Faucet Stiff Faucet Inoperative Faucets Aging Faucet Mineral Build Up Sink Damaged Sink Cracked Sink Drains Slow Sink Stopper Missing Sink Stopper Inoperative

NI

NP

Inspection Item

Laundry Tub Old Concrete Laundry Tub Cracked Laundry Tub Leak Laundry Tub Loose

Hose Bib Leaks Hose Bib Inoperative Hose Bib Shut Off Needed Hose Bib Anti-Siphon Needed

Marginal Workmanship Pipe Leak Obstruction Trap Leak Trap Suspect S Trap Insufficient Slope Support Insufficient ABS Pipe Suspect Connection Suspect

B.

Drains, Wastes, Vents Comments:

Older Piping Lead Pipe Main Clean Out Not Found Odor Openings Venting Suspect Stack Height/Size Insufficient

C.

Water Heating Equipment (Report as in need of repair those conditions specifically listed as recognized hazards by TREC rules.) Energy Source: ____________________________________ Comments:
Wiring Needs Conduit Wiring Improvement Missing Cover Damaged Cover Missing Controls Damaged Controls Casing Damage Burner Dirty Spillage Of Exhaust Combustion Air Draft Diverter Improvement Vent Pipe Aluminum Vent Pipe Clearance Vent Pipe Connections

Old Unit Unit Middle Aged Leakage Evidence Needs Service Corrosion At Supply Connections Reversed Hot And Cold No Shut Off Valve No TPR Valve Leaky TPR Valve Inoperative TPR Valve Discharge Tube Needs Improve. No Safety Pan

NI

NP

Inspection Item

WH Gas Line Material WH Gas Valve Location WH No Gas Shut-Off Water Heater Gas Leak

Protection From Damage Garage Clearances Need Improve. Unsafe Location Improve Mount

D.

Hydro-Therapy Equipment Comments:

Whirlpool Cover Damaged Whirlpool Lacks GFCI Whirlpool GFCI Inoperative Valves In Poor Condition Pipes In Poor Condition Grates Damaged

Whirlpool Inoperative Whirlpool Switch Location Whirlpool Leaks Leaks Under Whirlpool Whirlpool Noisy Whirlpool Motor Access Whirlpool Cover Missing

V. APPLIANCES

Dishwasher Comments:
Dishwasher Soap Door Poor Dishwasher Trays Poor Dishwasher Drying Elements Dishwasher Latch Damage Dishwasher Drains Improperly Drain Connection Marginal Supply Line Connection Marginal Dishwasher Maintenance Lacking Dishwasher Poorly Attached Airgap Device Missing Airgap Improper

Dishwasher Old Dishwasher Inoperative Dishwasher Noisy Dishwasher Rust Dishwasher Leaking Dishwasher Prior Leakage Dishwasher Door Seal Dishwasher Door Damage Dishwasher Door Spring Dishwasher Controls Missing Dishwasher Controls Damaged Dishwasher Spray Arm Problem

Disposer Old Disposer Inoperative Disposer Noisy Disposer Seized Disposer Damaged

B.

Food Waste Disposer Comments:

Disposer Poorly Secured Disposer Prior Leakage Disposer Splash Guard Damaged Disposer Wiring Defective

C.

Range Hood Comments:

Range Hood Speeds Range Hood Light Inoperative

Range Hood Fan Inoperative Range Hood Noisy Range Hood Vibration

NI

NP

Inspection Item Hood Vent Material Improper Range Hood Needed

Range Hood Cleaning Needed Hood Vent Pipe Damaged Hood Vent To Exterior Needed

D.

Ranges/Ovens/Cooktops Comments:
GR - Thermostat GR - Gas Connection Unsafe GR - No Shut Off In Room GR - Gas Leak ____________________________________ OVEN Oven Old Oven Element Inoperative Oven Element Damaged Oven Knob Damaged Oven Door Damaged Oven Door Springs Oven Door Latch Oven Door Gasket Oven Door Seal Oven Maintenance Lacking Oven Light Inoperative Oven Timer Inoperative Oven Clock Inoperative Oven Thermostat Oven Mounting ____________________________________ ELECTRIC COOKTOP EC - Old EC - Burner Inoperative EC - Burner Damaged EC - Knob Damaged EC - Maintenance Lacking EC - Wiring Defective ____________________________________ GAS COOKTOP GC - Old GC - Burner Inoperative GC - Burner Servicing Needed GC - Pilot Suspect GC - Knob Damaged GC - Gas Connection Unsafe GC - No Shut Off In Room GC - Gas Leak

____________________________________ ELECTRIC RANGE ER - Old ER - Burner Inoperative ER - Burner Damaged ER - Element Inoperative ER - Element Damaged ER - Knob Damaged ER - Oven Door Damaged ER - Oven Door Springs ER - Oven Door Latch ER - Oven Door Gasket ER - Oven Door Seal ER - Drawer Damaged ER - Maintenance Lacking ER - Oven Light Inoperative ER - Clock Inoperative ER - Thermostat ____________________________________ GAS RANGE GR - Old GR - Burner Inoperative GR - Burner Servicing Needed GR - Pilot Suspect GR - Knob Damaged GR - Oven Door Damaged GR - Oven Door Springs GR - Oven Door Latch GR - Oven Door Gasket GR - Oven Door Seal GR - Drawer Damaged GR - Maintenance Lacking GR - Oven Light Inoperative GR - Timer Inoperative GR - Clock Inoperative

E.

Microwave Cooking Equipment Comments:

Microwave Knob Damaged

Microwave Old Microwave Inoperative Microwave Does Not Heat Microwave Controls Damaged

Microwave Door Damaged

NI

NP

Inspection Item Microwave Light Inoperative Microwave Mounting

Microwave Door Springs Microwave Door Seal Microwave Maintenance Lacking

Compactor Old Compactor Inoperative Compactor Noisy Compactor Vibration Compactor Mounting

F.

Trash Compactor Comments:

Compactor Corrosion Compactor Door Damage Compactor Unsanitary Compactor Wiring Defective

G.

Bathroom Exhaust Fans and/or Heaters Comments:

____________________________________ BATHROOM HEATER(S) Heater Inoperative Heater Damaged Heater Rusted Damaged Control Heaters Old Condensation/Vent Problems Wiring Unsafe

____________________________________ BATHROOM EXHAUST FAN(S) Exhaust Fan Inoperative Exhaust Fan Noisy Exhaust Fan Vibration Exhaust Fan Light Inoperative Vent To Exterior Needed

Vacuum Inoperative Vacuum Noisy

H.

Whole House Vacuum Systems Comments:

Vacuum Low Suction

I.

Garage Door Operators Comments:

Opener Sensor Inoperative Opener Sensor Height

Opener Inoperative Opener Damaged Opener Auto Reverse Defective

Door Bell Inoperative

J.

Door Bell and Chimes Comments:

Door Bell Damaged

Vent Dryer To Exterior

K.

Dryer Vents Comments:

Vent Pipe Poor

VI. OPTIONAL SYSTEMS

A.

Lawn Sprinklers Comments:

Partially Buried Valves Spray Coverage Not Verified All Zones Not Operating Control Box Improper Wiring Control Box Damaged Wiring Control Box Mounting

Valves Leaking Low Water Pressure Re-Direct Spray Bury Exposed Lines Missing Sprinkler Heads Broken Sprinkler Heads Anti-Siphon Valves Recommended

NI

NP

Inspection Item

B.

Swimming Pools and Equipment Comments:

Unsafe Missing Maintenance Lacking ____________________________________ POOL LIGHT(S)/GFCI PROTECTION Inoperative Defective Damaged Older Obsolete Unsafe Missing Not Grounded Improper Wiring Maintenance Lacking ____________________________________ PUMP(S)/MOTORS/CONTROLS Inoperative Defective Damaged Older Obsolete Unsafe Missing Not Grounded Improper Wiring Maintenance Lacking ____________________________________ WIRING/GROUNDING Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ SWEEPS Inoperative Defective Damaged Older Obsolete

Construction: In Ground Construction: Above Ground ____________________________________ POOL SURFACES Defective Damaged Older Unsafe Missing Maintenance Lacking ____________________________________ TILE-COPING(S)/DECK(S) Defective Damaged Older Unsafe Missing Maintenance Lacking ____________________________________ SLIDES/STEPS/DIVING BOARDS Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ DRAINS/VALVES/SKIMMERS Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ FILTER TANKS/MEDIUM Inoperative Defective Damaged Older Obsolete

NI

NP

Inspection Item Not Grounded Improper Wiring Maintenance Lacking ____________________________________ FENCES/GATES/ENCLOSURES Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking

Unsafe Missing Not Grounded Improper Wiring Maintenance Lacking ____________________________________ HEATER(S) Inoperative Defective Damaged Older Obsolete Unsafe Missing

NI

NP

Inspection Item

C.

Outbuildings Comments:

D.

Outdoor Cooking Equipment Energy Source: ____________________________________

Unsafe Missing Maintenance Lacking ____________________________________ HEAT DIFFUSION MATERIAL Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ ROTISSERIE Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ GAS LINES OCE - Gas Line Material OCE - Gas Valve Location OCE - No Gas Shut-Off Gas Leak

Energy Source: Gas Energy Source: Electricity Unit Unstable ____________________________________ OPERATION/CONTROLS Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ KNOBS/HANDLES/RACKS/GRILLES Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ BOX (HOUSING)/PEDESTAL Defective Damaged Older Obsolete

NI

NP

Inspection Item

E. Gas Lines
Corrosion Union Location Poor Appliance Connection Shut Off Valve Needed Drip Leg Needed Undergrnd Pipe Protect. Suspect

Comments:
Gas Leak Main Shutoff Not Found Main Shutoff Obstructed Gas Meter Not Protected Copper Unsuitable Plastic Unsuitable Clear. From Ground Insufficient

F.

Water Wells (A coliform analysis is recommended.) Type of Pump: ____________________________________ Type of Storage Equipment: _________________________ Comments:
Maintenance Lacking ____________________________________ WIRING/CONTROL BOXES Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ DRAINAGE AT WELL HEAD Defective Unsafe

____________________________________ OPERATION/PERFORMANCE Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ PRESSURE SWITCH Inoperative Defective Damaged Older Obsolete Unsafe Missing

NI

NP

Inspection Item

G.

Septic Systems Type of System: ____________________________________ Location of Drainfield: _______________________________

Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ DOSING PUMP/GRINDER/SEWAGE PUMP Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ ELECTRICAL CONNECTIONS/SUPPLY Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking

Vis. Efflnt. Seepage Over Tank Vis. Efflnt. Seepage Over Field Proximity To ??? No Access To Tank ____________________________________ VISIBLE COMPONENTS/PIPING Inoperative Defective Damaged Older Obsolete Unsafe Missing Maintenance Lacking ____________________________________ WATER FLOW THROUGH FIXT. Inoperative Defective ____________________________________ SITE DRAINAGE IN SYSTEM AREA Defective Unsafe ____________________________________ SUFFICIENT CLEARANCES Defective Unsafe ____________________________________ AERATORS Inoperative

H.

Security Systems Comments:

Security System Needs Repair

Security System Inoperative Security System Older

I.

Fire Protection Equipment Type of System: ____________________________________ Comments:

NI

NP

Inspection Item Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ BATTERY BACK-UP/TELEPHONE SYST. Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ MONITORED SYSTEM Inoperative Damaged Older Obsolete Missing Maintenance Lacking

____________________________________ CONTROL PANELS/ALARMS Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ ENTRY/MOTION/INFRARED SENSORS Inoperative Defective Damaged Older Obsolete Unsafe Missing Improper Wiring Maintenance Lacking ____________________________________ SMOKE/FIRE DETECTION SENSOR Inoperative Defective